A postpartum client has continuous seepage of bright red blood from the vagina. The nurse completes an assessment and finds a firm uterus, 1 cm below the umbilicus, and midline. What does the nurse suspect is the reason for the bleeding?
Uterine atony
A cervical laceration
Retained placental fragments
A urinary tract infection
The Correct Answer is C
A. Uterine atony is characterized by a boggy and enlarged uterus, not a firm one.
B. A cervical laceration would typically present with bleeding and possibly a deviation of the uterus from the midline, but the firm uterus suggests a different cause.
C. Continuous seepage of bright red blood, along with a firm uterus, 1 cm below the umbilicus, and midline, is indicative of retained placental fragments.
D. A urinary tract infection would not typically cause continuous bright red blood seepage from the vagina.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Catheterization may not be necessary at this time and can be uncomfortable for the client.
B. Using a bedpan may not be the most comfortable option for the client, who likely wants to ambulate.
C. Assisting the client to the bathroom is the best response to ensure her safety and prevent falls.
D. Dangling the legs over the side of the bed is not necessary in this situation and may not address the client's need to use the bathroom.
Correct Answer is ["100"]
Explanation
To calculate the flow rate in mL/hr, we need to use the following formula:
Flow rate (mL/hr) = Dose (mU/min) x Volume (mL) / Concentration (units)
In this case, the dose is 2 mU/min, the volume is 1000 mL, and the concentration is 20 units. Plugging these values into the formula, we get:
Flow rate (mL/hr) = 2 x 1000 / 20 Flow rate (mL/hr) = 2000 / 20 Flow rate (mL/hr) = 100
Therefore, the flow rate in mL/hr is 100.
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